背景:实施数字技术是为了解决COVID-19大流行期间长期护理机构居民中断的社交需求。需要进行有关此主题的文献综述,以告知公共政策,设施经理,家庭照顾者,和护士/盟友卫生专业人员参与调解使用数字设备为居民的社会关系。我们的研究概述了关键概念,方法论,结果,问题,以及在与大流行相关的访问限制期间发表的文章中的空白。
目的:我们的研究概述了关键概念,方法论,结果,问题,以及在与大流行相关的访问限制期间发表的文章中的空白。
方法:遵循PRISMA-ScR协议,通过搜索3个数据库聚合器平台(EBSCO,ProQuest,和PubMed),用于2020年初至2021年6月底在同行评审期刊上发表的研究,当时实行了最严格的限制。我们包括定性和定量研究,reviews,评论,以法语或英语向编辑发表的观点和信件,重点关注数字技术,旨在在与大流行相关的探视限制期间支持长期护理机构居民的社会接触。
结果:在763篇筛选文章中,29符合我们的选择标准。对他们每个人来说,我们表征了(1)作者/标题/发布日期(2)第一作者的国家(3)研究领域(4)文章类型(5)提到的技术类型。分析区分了从文献中出现的三个主要主题:(a)远程社会接触对居民的身心健康和福祉的影响和期望(n=12),(b)与谁或什么社会接触发生(n=17),(c)与数字技术相关的重大社会接触的限制和障碍(n=14)。结果首先强调了数字技术作者对长期护理机构居民的健康和生活质量的高度积极影响。第二,他们强调了需要考虑的多种联系,因为社会接触不仅与家庭照顾者保持联系,而且还出于其他目的(临终视频会议)和其他类型的联系(例如,员工和机器人)。第三,他们暴露了使用数字技术进行重大接触的局限性和障碍,并概述启用它们所需的条件。
结论:该综述证明了有关实施数字技术以支持远程社交联系的文献概述的机会和风险。它显示了要考虑的多种联系,并揭示了从居民角度评估远程联系人的积极影响的必要性。因此,为了超越数字解决方案主义的风险,有必要进行研究,考虑到数字技术的实施对健康的整体影响,包括居民给予人际交流的意义和组织约束。
BACKGROUND: Digital technologies were implemented to address the disruption of long-term care facility residents\' socialization needs during the COVID-19 pandemic. A literature
review regarding this topic is needed to inform public policy, facility managers, family caregivers, and nurses and allied health professionals involved in mediating the use of digital devices for residents\' social ties.
OBJECTIVE: Our study outlines key concepts, methodologies, results, issues, and gaps in articles published during pandemic-related visitation restrictions.
METHODS: Following the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) protocol, a scoping
review was conducted by searching 3 database aggregator platforms (EBSCO, ProQuest, and PubMed) for studies published in peer-reviewed journals from early 2020 to the end of June 2021, when the most stringent restrictions were in place. We included qualitative and quantitative studies, reviews, commentaries, viewpoints, and letters to the editors in French or English focusing on digital technologies aiming to support the social contact of residents in long-term care facilities during pandemic-related visitation restrictions.
RESULTS: Among 763 screened articles, 29 met our selection criteria. For each study, we characterized the (1) authors, title, and date of the publication; (2) country of the first author; (3) research fields; (4) article type; and (5) type of technology mentioned. The analysis distinguished 3 main themes emerging from the literature: (1) impact and expectations of remote social contact on the physical and mental health and well-being of the residents (n=12), (2) with whom or what the social contact took place (n=17), and (3) limitations and barriers to significant social contact related to digital technologies (n=14). The results first underlined the highly positive impact expected by the authors of the digital technologies on health and quality of life of residents of long-term care facilities. Second, they highlighted the plurality of ties to consider, since social contact takes place not only with family caregivers to maintain contact but also for other purposes (end-of-life videoconferences) and with other types of contact (eg, with staff and robots). Third, they exposed the limitations and barriers to significant contact using digital technologies and outlined the required conditions to enable them.
CONCLUSIONS: The
review demonstrated the opportunities and risks outlined by the literature about the implementation of digital technologies to support remote social contact. It showed the plurality of ties to consider and revealed the need to evaluate the positive impact of remote contact from the residents\' perspectives. Therefore, to go beyond the risk of digital solutionism, there is a need for studies considering the holistic impact on health regarding the implementation of digital technologies, including the meaning residents give to interpersonal exchanges and the organizational constraints.
BACKGROUND: OSF Registries osf.io/yhpx3; https://osf.io/yhpx3.